Date of IncidentCampus Where Incident OccurredName of Person Being ReportedCCRI ID # of Person Being ReportedPlease describe the incident that you wish to report. Please be as clear as possible and stick to observed facts and personal impressions. Do not report things you did not see or hear or make assumptions on others' impressions.

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Someone from the Threat Assessment Committee will confirm the receipt of this report within 24 hours. Disposition of the incident may take some time thereafter. You will be notified of any actions taken, if necessary, if allowable by law.

Note:

Your CCRI ID# is the 8-digit number below your name on your CCRI ID. The number is also known as a banner ID, student ID, or employee ID. If this information is not available, leave this field blank.

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